Table of Contents

1. Clinical Implications of the Aging Process
- Frailty 2. The Geriatric Patient: Demography and Health Services Utilization3. Evaluation of the Geriatric Patient
- Pre-op
- Communicating with geriatric patients4. Chronic Disease Management*
- Multi-morbidity
- Geriatric practice models
- Person-centered care5. Prevention in the Geriatric Population
- Prevention of disability/exercise - physical, mental
- Primary (vaccines, diet, etc), secondary, and tertiary
- The role of calculating prognosis (e.g. ePrognosis) in deciding about preventive practices such as colonoscopy, breast screening)
- Prevention of infections in LTC (we are lacking a focus on infections - major geriatric issue - can include in Nursing Home Care chapter as well)6. Confusion: Delirium and Dementia
- Hypoactive delirium7. Depression8. Incontinence9. Falls
- Role of environment10. Immobility
- Muscular and skeletal pain (include polymyalgia, DJD management)
- Non-pharmacologic pain management
- Complications - e.g. treatment of DVT
- Update on osteoporosis, measuring Vitamin D, bone mineral density, and treatments11. Cardiovascular Disease
- BP SPRINT Trial
- Overtreatment of HTN causing complications- risk vs. benefit - individualizing care
- Effects - or lack thereof on treating HTN on cognition
- Treatment of hyperlipidemia
- Management of A Fib - with discussion of anticoagulation in patients at risk for falls and risks and benefits of newer anticoagulants12. Frailty, Failure to Thrive, and Common Metabolic Problems
- Assessing frailty ( 2 definitions)
- Failure to thrive
- Alcohol and substance abuse
- Sarcopenia
- Metabolic problems (sorting out all the new medications for diabetes, importance of preventing hypoglycemia; management of hypo and hyperthyroidism)
- CKD (there are a lot of new data; should mention role of dialysis and transplant issues)
- Neuropathy13. Sensory Function and Impairment
- Role of cochlear implants
- Treatment of AMD14. Drugs15. High Value Health Services in the Geriatric Population
- Quality/ACOVE
- Value-based purchasing
- Bundling
- ACOs
- Teams
- HCBS
- Caregivers16. Nursing Home Care17. Ethics
- Neglect and abuse awareness 18. Palliative Care

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